radiografía 1
La placa radiográfica es una imagen de esofagograma de un paciente
con disfagia de larga data ¿cual es el nombre de este signo clásico
y cual es el diagnóstico?
con disfagia de larga data ¿cual es el nombre de este signo clásico
y cual es el diagnóstico?
This is a classic case of achalasia. The signs seen on a barium swallow study include:
- tapering narrowing of the lower oesophagus -
- known as the bird beak sign (see image below)
- slow passage of barium through the lower
- oesophageal sphincter which is abnormally tight
- food residue seen within lower oesophagus
- tertiary contractions
- there is a risk of malignancy so the mucosa
- needs to be carefully evaluated
- lung parenchyma changes secondary
- to chronic aspiration
Achalasia may be primary (idiopathic) or secondary to
Chagas disease.
Pseudoachalasia is the name given to a malignant stricture.
Chagas disease.
Pseudoachalasia is the name given to a malignant stricture.